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Initial SUV

max

(recurrent N):

11 (4-16); p=0.002

D & V: No significant correlation

More failures when

< 5 cycles of ChT (p<0.001)

Ramlov A, et al. Acta Oncologica 2015

3

3

9

isolated PAN recurrences

(1/9: prophylactic PAN RT)

CTV-N

failure

Conclusions:

Current boost practice:

control of involved N

SUV

max

negative prognostic factor

Attention: Chemotherapy & Paraaortic RT

139 patients

209 N+ in 75 pts.

SUV

max

= 5 (2-21)

Boost D (EQD2):

D98=62 (53-69) Gy

PET CT, MRI

21 (15 %) pts.:

N relapse

Nodal Boost

Dose